Organization
JAMES E. MEMMEN, M.D. LIMITED
Active
Other names
Green Apple Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES EDWARD MEMMEN MD (PHYSICIAN/OWNER)
(920) 497-0100
Entity
Organization
Contact information
Practice address
1543 PARK PL STE 400, GREEN BAY, WI 54304-1970
(920) 497-0100
(920) 497-0101
Mailing address
PO BOX 10946, GREEN BAY, WI 54307-0946
(920) 380-0100
(920) 380-0101
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
29183-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356367023
NPI #
WI
01
—
207W00000X
PROVIDER TAXONOMIES
WI
01
—
29183-020
STATE LICENSE
WI
05
—
31395200
—
WI
Enumeration date
01/19/2007
Last updated
03/10/2020
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